Journal of plastic, reconstructive & aesthetic surgery : JPRAS
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J Plast Reconstr Aesthet Surg · Mar 2011
Review Case ReportsPovidone-iodine-related burn under the tourniquet of a child--a case report and literature review.
Chemical burn under pneumatic tourniquet caused by povidone-iodine is an iatrogenic injury and is rarely reported in the literature. It is even rarer in paediatric cases. We report a case of 2-year-old female patient who underwent excision and reconstruction of bilateral radial polydactylies. ⋯ These wounds healed secondarily within 4 weeks. This morbidity is relatively under-recognised. Special attention should be paid to paediatric patients, whose skins are more delicate and vulnerable.
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J Plast Reconstr Aesthet Surg · Mar 2011
Versatility of the pedicled peroneal artery perforator flaps for soft-tissue coverage of the lower leg and foot defects.
Even a small defect in the lower leg and foot with exposure of bones or tendons can result in an intractable wound, which may require a microsurgical tissue transfer. With the concept of the perforator flap, a pedicled peroneal artery perforator flap can be used for coverage of this difficult region. Between August 2001 and August 2008, 18 pedicled peroneal artery perforator flaps were performed in 18 patients. ⋯ In conclusion, the peroneal artery perforators are predictable and reliable for the design of a perforated-based flap. Elevation of the flap can be performed easily in the supine or prone position, depending on the defect location. Different designs of this perforator-based flap can repair a variety of leg and foot defects.